Doctor Name: | PAULETTE LYTLE BECKER |
NPI Number: | 1710345558 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., M.S.N. |
License Number: | RN 00136707 |
Business Practice Address: | 2270 Soundview Dr Langley, WA - 982609582 |
Business Phone Number: | 3603212250 |
Business Fax Number: | 4198313514 |
Mailing Address: | 2270 Soundview Dr, LANGLEY |
State: | WA |
Postal Code: | 982609582 |
Phone Number: | 3603212250 |
Fax Number: | 4198313514 |
NPI Enumeration Date: | 02/08/2016 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | RN 00136707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |